SearchIllinois335E00000X

Micah Sampson

NPI 1255057139 · on the registry since 2022 · sole proprietor

Practice

Address
301 Webb St
Calumet City, IL 60409
Phone
(312) 204-9591

Registry record

Primary taxonomy
335E00000X
335E00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois